Timothy Micah Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007656 Issued in NY

Practice address

3290 Sheridan Dr
Amherst, NY 14226-1422

Phone

(716) 691-1192

Fax

(716) 393-3839

NPI assigned

Sep 21, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson and Amabile OD, PLLCGroup PAC ID 9234381443, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnson & Amabile OD, PLLC

  • Optometrist
  • Buffalo, NY
  • NPI 1194071290
  Medicare reassignment Care Compare group NPD
• South Park Optical, Inc.

  • Eyewear Supplier
  • Blasdell, NY
  • NPI 1700974946
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1790019008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOX TRCE",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863072",
            "telephone_number": "716-598-6760",
            "fax_number": "716-393-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261422",
            "telephone_number": "716-691-1192",
            "fax_number": "716-393-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIMOTHY",
        "middle_name": "MICAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel a. Snitzer, MD
• John F Catalino LCSW, PLLC
• Gari-Sue John, M.S.P.T.
• Ashley Johnson
• David N Johnson, MD
• Courtney Ann Jones, PHARMD
• Elizabeth Jones
• Joshua Lewis Jones, MD
• Rene A Jones, LMFT
• Kelly M Jordan, PA

• Optometrist in Amherst, NY
• Providers in Amherst, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.